Physician Compare National (NPI:1326304890)

HEALTHCARE PROVIDER: SHIVANI VARAKANTAM REDDY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1326304890
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2264749829
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181017003343
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	REDDY
	Individual professional last name
Provider First Name	SHIVANI
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	THOMAS EYE GROUP PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	2567455868
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	23
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2700 HWY 34 E
	Group Practice or individual's line 1 address
Line 2 Street Address	BLDG 300
	Group Practice or individual's line 2 address
City	NEWNAN
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	302652315
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6784237700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y